Staff InformationPlease send this information as soon as possible and by 5/20 at the latest.Name *Email Address *If this was sent to a parent email, please provide your personal email address.Phone *0 / 10Birthdate *MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year2021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922Street Address *Apartment, suite, etcCity *State *ZIP / Postal Code *Social Security Number: If you are a new Junior Counselor or Senior Counselor, please call Ryan with your SSN (617-780-7161)Including 2020, what year at WEHC will this be for you? *Will you be able to make it to the Zoom meetings on 5/25 @ 6:30pm? *YesNoWill you be able to arrive at camp on 6/21? *YesContact Ryan as to why notHow are you planning to get to camp? *Driving myselfParent/Guardian driving meCarpooling with another counselorFlying and will need to be picked up (Contact Ryan)Are you planning to bring a car? *YesNoIn what areas are you currently certified?Upload certification(s)Drag and Drop (or) Choose FilesWe are training 10 lifeguards, 4 Water Safety Instructors, and CPR training during Set Up Week. What other areas are you eager or willing to be trained and/or certified before camp starts?Who was your favorite counselor you have had at West End House Camp?What made them such a good counselor?What size staff shirt would you like? *Please select an optionAdult X-SmallAdult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-LargeWe are posting current counselor pictures and information on our website to help parents and campers get to know you better. Please keep this in mind when answering these next questions.What is your hometown *How many years have you been at camp? *If you are in college or are attending college in the fall, what college do you attend?What do you love most about camp or if this is your first year, what are you most excited about? *Please upload a current picture of yourself that can be put on our website. *Choose FileNo file chosenDelete uploaded fileCovid Prevention PledgeCOVID-19 can spread easily at events and mass gatherings, such as concerts, festivals, conferences, worship services, and sporting events (CDC). Traveling to and from mass gatherings can also spread Covid to our community and compromise the entire camp’s health and safety. I acknowledge the importance and impact of my decisions and will avoid large and mass gatherings outside of camp during all time off. If a large gathering is unavoidable (ex. College orientation, funeral, etc.), I will protect myself by wearing a mask for the safety and well-being of all of the West End House Camp community.Signature *Start signing your signature hereYour browser does not support e-Signature field.Reminder to register on CampDoc with your medical information if you haven’t already done so.Link to CampDocComplete and Send Share this:FacebookTwitterEmail